Individual provider Active NPI

Angela Marie Acquafredda, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1679000533
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10008 Issued in AZ
Practice address
15215 S 48TH St Ste 161
Phoenix, AZ 85044-9139
Phone
(602) 633-4493
Fax
(602) 716-9656
NPI assigned
May 22, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP10008 AZ Primary

Addresses

Primary practice location

15215 S 48TH St Ste 161
Phoenix, AZ 85044-9139

Mailing address

645 E Missouri Ave Ste 280
Phoenix, AZ 85012-1349
Phone (602) 264-9100

Other names 1

  • Ms. Angela Marie Tovar Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220128001774 AZ Practitioner - Nurse Practitioner 1153541149 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Digestive Health PCGroup PAC ID 6507940731, 134 clinicians
Alliance Urgent Care PLLCGroup PAC ID 8022111749, 8 clinicians

Practice addresses (Care Compare)

15215 S 48TH St
Suite 161
Phoenix, AZ 85044-9139
Phone (602) 633-4493

15530 W Roosevelt St
Suite D101
Goodyear, AZ 85338-6216
Phone (623) 742-2300

9897 W McDowell Rd
Tolleson, AZ 85353-1622
Phone (623) 474-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Urgent Care PLLC CurrentSince Sep 8, 2021 Accepting new patients
Arizona Digestive Health, PC CurrentSince Sep 23, 2024 Accepting new patients
Internal Medicine Physicians Associates, P.C. Family Past Accepting new patients
Arizona Heart Specialists PLLC Past Accepting new patients
Internal Medicine Physicians Associates PC PastSince Jan 15, 2014 Accepting new patients

Locations

5823 W Eugie Ave
Ste A
Glendale, AZ 85304
Phone (602) 439-1717

15530 W Roosevelt St
Goodyear, AZ 85338
Phone (623) 386-8333

15215 S 48th St
Ste 1
Phoenix, AZ 85044

15215 S 48th St
Ste 161
Phoenix, AZ 85044
Phone (602) 633-4493

645 E Missouri Ave
Ste 280
Phoenix, AZ 85012
Phone (602) 264-9100

9897 W McDowell Rd
Ste 100
Tolleson, AZ 85353
Phone (623) 474-2300

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1679000533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 E MISSOURI AVE STE 280",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121349",
            "telephone_number": "602-264-9100",
            "fax_number": "602-264-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15215 S 48TH ST STE 161",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850449139",
            "telephone_number": "602-633-4493",
            "fax_number": "602-716-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACQUAFREDDA",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "TOVAR",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.